Table 2.
C-Statistics Rating Model Performance for One-Year Mortality Following Hip Fracture among Medicare Beneficiaries
Adjustment Instruments |
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---|---|---|---|---|
Charlson
|
||||
Implementation Strategy | CCS | Components | Index | Iezzoni |
|
|
|
||
MedPar (index+pre-period) + Part B (pre-period) | 0.76 | 0.72*,‡ | 0.71*,‡ | 0.73*,‡ |
MedPar (pre-period) + Part B (pre-period) | 0.72*,§ | 0.69*,‡,§ | 0.69*,‡,§ | 0.70*,‡,§ |
MedPar (index) + Part B (pre-period) | 0.76 | 0.71*,‡ | 0.70*,‡ | 0.72*,‡ |
Part B (pre-period) | 0.71*,§ | 0.68*,‡,§ | 0.68*,‡,§ | 0.70*,‡,§ |
MedPar (index + pre-period) | 0.76 | 0.71*,‡ | 0.71*,‡ | 0.72*,‡ |
MedPar (pre-period) | 0.69*,§ | 0.68*,‡,§ | 0.68*,‡,§ | 0.68*,‡,§ |
MedPar (index) | 0.75*,§ | 0.70*,‡,§ | 0.69*,‡,§ | 0.71*,‡,§ |
Legend:
Models are arranged from most to least complex based on data source and time frame to which each was applied. All models adjusted for age, sex, and race differences.
Comparison 1 - denotes statistical difference (p < 0.05) from the reference standard model:
CCS - MedPar (index + pre-period) + Part B (pre-period).
Comparison 2 - denotes statistical difference (p < 0.05) from the model with the greatest number of parameters (CCS) across risk-adjustment strategies for the same data source and time-frame combination.
Comparison 3 - denotes statistical difference (p < 0.05) from the model with the broadest data source and time-frame combination [MedPar (index + pre-period) + Par B (pre-period)] within each risk-adjustment strategy.